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NPI Code Detail

MEDICARE: AUBREY FAITH STEWART APCC

MEDICARE: AUBREY FAITH STEWART APCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPCC18719CA
2101Y00000XCounselor
3101YM0800XMental Health Counselor
4101YP2500XProfessional Counselor
5171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1265258313
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY FAITH STEWART APCC
Provider Business Mailing Address
First Line : 2444 BARRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-3280
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2444 BARRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-3280
Country : US
Telephone Number : 310-450-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2024
Last Update Date : 02/13/2025

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Directions to “ AUBREY FAITH STEWART APCC” Practice Location

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